Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.91 / $123.49 / $141.78	Facility		$102.91	$123.49	$141.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.91 / $142.79 / $214.77	Professional		$102.91	$142.79	$214.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $375.00 / $375.00	Professional		$375.00	$375.00	$375.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $241.93 / $337.71 / $442.51	Facility		$241.93	$337.71	$442.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $249.20 / $326.06 / $454.10	Professional		$249.20	$326.06	$454.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.08 / $306.08 / $306.08	Facility		$306.08	$306.08	$306.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.94 / $160.94 / $1,280.00	Professional		$160.94	$160.94	$1,280.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $279.51	Professional		$45.00	$45.00	$279.51
United Facility/Professional Professional Modifier Low / Median / High Price $96.39 / $144.59 / $204.83	Professional		$96.39	$144.59	$204.83